NPI | 1952718769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90653) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2629) |
Enumeration Date | 2014-07-14 |
Last Update Date | 2017-01-05 |