| NPI | 1184825010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50192) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF #54994) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2011-07-14 |