| NPI | 1104117787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53798) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 52376) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2016-02-17 |