NPI | 1760909493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99765) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 180236458) |
106H00000X Marriage & Family Therapist (Licence: CA 98765) | |
Enumeration Date | 2017-08-23 |
Last Update Date | 2018-12-18 |