NPI | 1699216044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF95007) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI3258) |
Enumeration Date | 2017-03-18 |
Last Update Date | 2017-03-18 |