NPI | 1053641324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49581) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF50536) |
Enumeration Date | 2010-01-08 |
Last Update Date | 2016-06-10 |