NPI | 1578967253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96406) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1231) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2018-03-17 |