NPI | 1639857543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14122) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14122) |
106H00000X Marriage & Family Therapist (Licence: CA 14122) | |
Enumeration Date | 2023-07-10 |
Last Update Date | 2023-07-10 |