| NPI | 1184791600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 48285) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47066 intern number) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-07-12 |