NPI | 1861946634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF93042) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PCC12963) |
Enumeration Date | 2016-08-10 |
Last Update Date | 2016-08-10 |