NPI | 1467572065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 40329) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 40329) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2017-01-31 |