NPI | 1780332924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 52873) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52873) |
Enumeration Date | 2022-03-16 |
Last Update Date | 2025-08-05 |