NPI | 1841074747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151883) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 251S00000X) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2024-12-23 |