NPI | 1487362323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA amft134926) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA apcc12184) |
Enumeration Date | 2022-11-09 |
Last Update Date | 2022-11-09 |