NPI | 1770640922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc32193) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC00032193) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-03-20 |