NPI | 1497453302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA MFT1480) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC9317) |
Enumeration Date | 2023-02-20 |
Last Update Date | 2025-02-27 |