NPI | 1295925683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT 7020) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY12926) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2007-07-31 |