NPI | 1952706525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120040) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-10-24 |
Last Update Date | 2020-07-15 |