NPI | 1568032761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144325) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 144325) |
106H00000X Marriage & Family Therapist (Licence: CA 125737) | |
Enumeration Date | 2021-06-29 |
Last Update Date | 2024-11-13 |