NPI | 1710171830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45405) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 45405) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2021-10-01 |