NPI | 1770882979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104786) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 60003) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2023-02-07 |