NPI | 1508463613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT123523) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-10-02 |
Last Update Date | 2021-02-11 |