NPI | 1831685254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126462) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 107968) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 107968) | |
Enumeration Date | 2018-07-09 |
Last Update Date | 2021-07-12 |