NPI | 1578717054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50523) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55327) |
Enumeration Date | 2008-11-10 |
Last Update Date | 2012-10-22 |