NPI | 1265679237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 1324) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 5872) |
Enumeration Date | 2009-01-13 |
Last Update Date | 2012-07-28 |