NPI | 1437432812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 65290) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA LPCC731) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2023-04-05 |