NPI | 1023440013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85441) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 85441) |
101Y00000X Counselor | |
Enumeration Date | 2013-08-01 |
Last Update Date | 2016-09-14 |