NPI | 1669945226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122304) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT122304) |
Enumeration Date | 2019-01-07 |
Last Update Date | 2023-06-30 |