NPI | 1548818123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129946) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14117) |
Enumeration Date | 2019-08-28 |
Last Update Date | 2023-08-14 |