NPI | 1871035816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144438) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 144438) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2024-03-11 |