| NPI | 1104953025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF50010) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 47036) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-06-18 |