NPI | 1447725692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120400) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9833) |
Enumeration Date | 2018-10-03 |
Last Update Date | 2023-07-04 |