| NPI | 1235254830 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMFT96067) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64527) | 
| 106H00000X Marriage & Family Therapist (Licence: CA IMFT64527) | |
| Enumeration Date | 2007-03-20 | 
| Last Update Date | 2016-10-26 |