NPI | 1417117763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41914) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 41914) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2008-06-10 |