NPI | 1477138204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT155596) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC19601) |
Enumeration Date | 2021-03-12 |
Last Update Date | 2025-08-05 |