NPI | 1225352651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 1084) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2010-03-14 |
Last Update Date | 2016-08-17 |