NPI | 1043510191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: HI HI 2012-02432) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 21066) |
Enumeration Date | 2010-10-22 |
Last Update Date | 2014-06-06 |