NPI | 1619264652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF64059) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2020-07-31 |