NPI | 1851578603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MFT37665) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT37665) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2022-07-21 |