NPI | 1437565231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 78472) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF#78472) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2015-04-07 |