NPI | 1720524739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105385) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF87552) |
Enumeration Date | 2017-01-13 |
Last Update Date | 2025-06-16 |