NPI | 1477289890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129224) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: APCC10622) |
101YM0800X Counselor, Mental Health (Licence: CA APCC10622) | |
106H00000X Marriage & Family Therapist (Licence: CA 318066) | |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-11-21 |