NPI | 1912451345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85831) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 85831) |
Enumeration Date | 2016-08-15 |
Last Update Date | 2016-08-15 |