| NPI | 1164655445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SD LMFT1209) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC47324) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2012-05-17 |