NPI | 1699220590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110632) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 113115) |
Enumeration Date | 2016-08-20 |
Last Update Date | 2019-10-30 |