NPI | 1487250346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 38761) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 38761) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2024-07-23 |