NPI | 1942372586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC42967) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42967) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2007-07-08 |