NPI | 1689185985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130869) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA imf101649) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2024-12-09 |