NPI | 1568901130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111434) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF83550) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2019-04-22 |