NPI | 1831241058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41489) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 41489) |
101YP2500X Counselor, Professional (Licence: CA MFC 41489) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2012-12-14 |