NPI | 1275601098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc49304) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 44878) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2016-03-23 |