NPI | 1619520145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121304) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-07-23 |
Last Update Date | 2023-01-05 |