NPI | 1790254324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128913) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110197) |
106H00000X Marriage & Family Therapist (Licence: CA 110197) | |
101Y00000X Counselor | |
Enumeration Date | 2018-11-13 |
Last Update Date | 2022-01-26 |