NPI | 1396085007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84959) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1833) |
Enumeration Date | 2013-02-18 |
Last Update Date | 2015-11-19 |