NPI | 1447881271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT117572) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117572) |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-02-10 |