NPI | 1033382031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC25464) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 0403) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2008-04-10 |