NPI | 1841324712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 57151) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5039) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2010-09-01 |