NPI | 1710740444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138258) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13346) |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |