NPI | 1871190611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142283) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2020-10-05 |
Last Update Date | 2023-11-02 |