NPI | 1851617203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121132) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF94025) |
106H00000X Marriage & Family Therapist (Licence: CA IMF94025) | |
Enumeration Date | 2010-04-09 |
Last Update Date | 2021-02-17 |