NPI | 1699299891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC125158) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 100536) |
106H00000X Marriage & Family Therapist (Licence: CA IMF100536) | |
Enumeration Date | 2017-07-29 |
Last Update Date | 2021-03-29 |