NPI | 1174728992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 38693) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 96) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2009-04-06 |