| NPI | 1225158033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52889) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01085) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-08-19 |