| NPI | 1114251626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC23409) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MY23409) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2013-07-02 |