NPI | 1447775473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125127) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 101491) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 101491) | |
Enumeration Date | 2017-08-10 |
Last Update Date | 2024-05-09 |