NPI | 1619341880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139788) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 100726) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT100726) | |
Enumeration Date | 2015-11-25 |
Last Update Date | 2023-08-10 |