NPI | 1760569313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC39553) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC161) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2014-01-29 |