NPI | 1427698075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138774) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16109) |
Enumeration Date | 2020-01-12 |
Last Update Date | 2025-07-02 |