NPI | 1982109922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119391) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-03-29 |
Last Update Date | 2020-06-29 |