NPI | 1801928148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53987) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 50908) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2013-10-09 |