NPI | 1437449063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF70247) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF70247) |
Enumeration Date | 2011-04-16 |
Last Update Date | 2014-08-15 |