NPI | 1962632802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 39149) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 39149) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2009-07-24 |