NPI | 1235687518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF82912) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2016-09-15 |
Last Update Date | 2017-02-22 |