NPI | 1548372709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF91343) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RCooo38558) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-02-10 |