NPI | 1710178926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48891) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7B38043) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2014-10-10 |