NPI | 1962922294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107079) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
174400000X Specialist | |
Enumeration Date | 2017-06-27 |
Last Update Date | 2020-03-23 |