NPI | 1528262086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 67607) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67607) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2016-02-05 |