| NPI | 1174728992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 38693) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 96) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2009-04-06 |