NPI | 1932239522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC44162) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 44162) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2010-12-08 |