NPI | 1477755122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49101) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF53481) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2013-01-25 |