NPI | 1497002315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135819) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 70254) |
101YM0800X Counselor, Mental Health (Licence: CA 105984) | |
Enumeration Date | 2012-08-09 |
Last Update Date | 2022-11-20 |