NPI | 1760957146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127614) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA AMFT127614) | |
106S00000X Behavior Technician | |
Enumeration Date | 2018-10-11 |
Last Update Date | 2024-05-31 |