NPI | 1679864805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107211) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 88453) |
Enumeration Date | 2011-04-21 |
Last Update Date | 2024-09-28 |