NPI | 1801147806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 71535) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102567) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2023-08-09 |