NPI | 1770724288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT15020) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA LEP2016) |
Enumeration Date | 2009-03-12 |
Last Update Date | 2009-03-12 |