NPI | 1982334710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142146) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
Enumeration Date | 2022-06-14 |
Last Update Date | 2024-01-16 |