NPI | 1962663617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF65179) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2008-06-24 |
Last Update Date | 2014-02-25 |