NPI | 1225582711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91123) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2639) |
Enumeration Date | 2016-08-12 |
Last Update Date | 2016-11-04 |