NPI | 1316222458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC96356) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101Y00000X Counselor | |
Enumeration Date | 2011-10-20 |
Last Update Date | 2016-10-27 |