NPI | 1144403874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45113) |
Additional Taxonomies | 101YS0200X Counselor School (Licence: CA PUPIL PERSONNEL CRED) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2007-12-17 |