NPI | 1649727116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF94098) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF94098) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2018-06-21 |