NPI | 1205223286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77669) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 168) |
103TS0200X Psychologist, School (Licence: CA 3352) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2015-04-17 |