NPI | 1609998152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 35574) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC1412) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2018-09-07 |