NPI | 1154598597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51229) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA IMF 60971) | |
Enumeration Date | 2008-05-14 |
Last Update Date | 2019-09-03 |