NPI | 1508960022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 1590) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 4101) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2013-09-26 |