NPI | 1447622121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101176) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78054) |
101YP2500X Counselor, Professional (Licence: CA 611) | |
101Y00000X Counselor | |
106H00000X Marriage & Family Therapist (Licence: CA 78054) | |
Enumeration Date | 2015-10-21 |
Last Update Date | 2023-05-06 |