NPI | 1447782438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF99176) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF99176) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2017-05-09 |