NPI | 1043432784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC50734) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF52312) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2013-09-19 |