NPI | 1275545451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC34067) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 34067) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2012-06-28 |