NPI | 1710224803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 49) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70979) |
Enumeration Date | 2013-01-09 |
Last Update Date | 2013-01-09 |