NPI | 1649864075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT130387) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-02-25 |
Last Update Date | 2023-07-17 |