NPI | 1275651739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2381) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA LMFT100) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2008-06-12 |