NPI | 1467778001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86779) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
101YM0800X Counselor, Mental Health | |
101YM0800X Counselor, Mental Health (Licence: CA 67868) | |
106H00000X Marriage & Family Therapist (Licence: CA IMF 67868) | |
Enumeration Date | 2010-04-07 |
Last Update Date | 2016-04-15 |