NPI | 1093014177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LR11230) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MB20760) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2013-07-22 |