NPI | 1962675827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53052) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60304895) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2014-12-29 |