NPI | 1598897167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86202) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LMFT138811) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2024-01-05 |