| NPI | 1114285053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50876) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1519) |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2012-04-29 |