NPI | 1376742155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 54731) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-07-12 |
Last Update Date | 2007-10-25 |