NPI | 1508435819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT136740) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC12783) |
Enumeration Date | 2021-06-21 |
Last Update Date | 2024-11-27 |