NPI | 1346446242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT80618) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
101YM0800X Counselor, Mental Health (Licence: CA IMF57747) | |
Enumeration Date | 2007-06-26 |
Last Update Date | 2014-06-25 |