NPI | 1619284916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53763) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2010-09-08 |
Last Update Date | 2014-09-24 |