| NPI | 1205182524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53808) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 58261) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2013-10-02 |