NPI | 1811026321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47606) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 51336) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2010-03-19 |