NPI | 1861999104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139909) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13457) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2025-03-14 |