NPI | 1578073367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132536) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 6833) |
106H00000X Marriage & Family Therapist (Licence: CA 115726) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-10-05 |
Last Update Date | 2022-05-09 |