NPI | 1649406927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC52336) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 58996) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2012-10-16 |