NPI | 1558656207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF75218) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94022231) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2016-02-10 |