NPI | 1669740940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97749) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
101YM0800X Counselor, Mental Health (Licence: CA 74153) | |
Enumeration Date | 2011-12-01 |
Last Update Date | 2017-01-11 |