| NPI | 1073689758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51111) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41812) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2013-10-28 |