| NPI | 1124226246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48888) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 51545) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-05-16 |