NPI | 1356582894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52524) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA IMF 56657) |
Enumeration Date | 2009-03-12 |
Last Update Date | 2024-01-12 |