NPI | 1841432697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 53466) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF 53466) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2011-11-04 |