NPI | 1831829225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT132149) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA AMFT132149) |
Enumeration Date | 2022-06-16 |
Last Update Date | 2022-10-24 |