NPI | 1518056043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT6643) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT6643) |
101YP2500X Counselor, Professional (Licence: CA MFT6643) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-29 |