NPI | 1922596980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139512) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT100665) |
106H00000X Marriage & Family Therapist (Licence: CA 100665) | |
Enumeration Date | 2018-04-25 |
Last Update Date | 2023-08-28 |