NPI | 1518362474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126265) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-11-04 |
Last Update Date | 2021-07-01 |