NPI | 1184866147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51323) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 58565) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2012-08-13 |