NPI | 1770611279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 78623) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52992) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2014-01-22 |