NPI | 1649211996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT9347) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 22132) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2011-11-13 |