NPI | 1982974879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 50928) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA MFC 50928) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2013-10-11 |