NPI | 1669553962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 6289) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 13001) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-07-08 |