NPI | 1487918116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC52752) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55218) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2013-01-23 |