NPI | 1154734903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 74226) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 518) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2015-07-16 |