NPI | 1194107359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80929) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 80929) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2016-09-23 |