NPI | 1831882802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA AMFT137037) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA AMFT137037) |
101YM0800X Counselor, Mental Health (Licence: CA AMFT137037) | |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-05-26 |