NPI | 1366576886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 17668) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LCS17668) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2019-04-17 |