NPI | 1184738445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43790) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 43790) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2011-11-21 |