NPI | 1881396778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 10472) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 128663) |
Enumeration Date | 2023-03-21 |
Last Update Date | 2024-03-24 |