NPI | 1992021380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS10871) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC4564) |
Enumeration Date | 2010-04-11 |
Last Update Date | 2010-04-11 |