| NPI | 1053641324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49581) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF50536) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2016-06-10 |