NPI | 1831367879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc 45094) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 07-151) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2010-01-12 |