NPI | 1831526011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC35838) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC ATCB 01-016) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2013-10-02 |