NPI | 1700253960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF84253) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-08-24 |
Last Update Date | 2018-03-17 |