NPI | 1225320484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 64655) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 64655) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2013-06-13 |