NPI | 1366586786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT40590) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT483) |
Enumeration Date | 2007-02-18 |
Last Update Date | 2016-10-28 |