NPI | 1952691347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93224) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63519) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2018-06-26 |