NPI | 1437900180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145970) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YM0800X Counselor Mental Health (Licence: CA 16232) | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-17 |