NPI | 1639804164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT131281) |
Enumeration Date | 2022-07-19 |
Last Update Date | 2023-04-20 |