NPI | 1861585788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51332) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 50272) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2012-04-18 |