| NPI | 1194864934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC #54038) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF #50399) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2014-01-14 |