NPI | 1336319326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA LMFT 1026) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA LPC 3188) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2008-03-05 |