NPI | 1316031925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS7613) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC8731) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-11-14 |