NPI | 1457851958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120266) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103666) |
Enumeration Date | 2018-02-20 |
Last Update Date | 2021-09-30 |