NPI | 1780119065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT122639) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA AMFT122639) | |
106H00000X Marriage & Family Therapist | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2022-12-13 |