NPI | 1881930972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT148706) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT108083) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2024-08-16 |