NPI | 1427614718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126310) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9789) |
101Y00000X Counselor | |
Enumeration Date | 2019-05-13 |
Last Update Date | 2023-01-01 |