NPI | 1700096807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 75405) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-05-23 |
Last Update Date | 2016-08-03 |