NPI | 1538328216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52416) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2008-06-06 |
Last Update Date | 2012-11-07 |