NPI | 1891973285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 64302) |
Additional Taxonomies | 104100000X Social Worker |
101Y00000X Counselor | |
Enumeration Date | 2008-02-07 |
Last Update Date | 2010-09-02 |