NPI | 1114137254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47072) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 45156) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2011-10-25 |