NPI | 1639352503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 919503) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 54192) |
101YM0800X Counselor, Mental Health (Licence: CA 54192) | |
Enumeration Date | 2007-12-13 |
Last Update Date | 2016-03-21 |