NPI | 1669602066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC 52439) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2009-07-20 |
Last Update Date | 2012-11-19 |