| NPI | 1013033596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC38855) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA LPCC573) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-12-12 |