NPI | 1629104179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 23476) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2007-02-26 |
Last Update Date | 2014-09-03 |