NPI | 1083765291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC40875) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2019-10-28 |