| NPI | 1114137254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47072) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 45156) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-10-25 |