NPI | 1780332585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49878) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC1562) |
Enumeration Date | 2022-03-11 |
Last Update Date | 2022-03-11 |