| NPI | 1003976945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT44822) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF41419) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-01-06 |