NPI | 1811041536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46349) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 49558) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2010-01-22 |