NPI | 1750756714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 115545) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF78251) |
106H00000X Marriage & Family Therapist (Licence: CA IMF 78251) | |
Enumeration Date | 2015-12-02 |
Last Update Date | 2021-06-16 |