NPI | 1811388580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108092) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 8732) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2021-08-31 |