NPI | 1437894854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133897) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY30024) |
101YM0800X Counselor, Mental Health (Licence: CA 133897) | |
Enumeration Date | 2022-04-29 |
Last Update Date | 2024-04-04 |