NPI | 1376857953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF67994) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-08-05 |
Last Update Date | 2012-05-16 |