NPI | 1801003603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51914) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 54657) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2013-11-01 |