NPI | 1952840118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF95353) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI3581) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2017-02-21 |