NPI | 1952900144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117642) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT117642) |
Enumeration Date | 2020-10-20 |
Last Update Date | 2021-01-08 |