NPI | 1730374521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113625) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT113625) |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2007-09-13 |
Last Update Date | 2024-08-26 |