| NPI | 1255459533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 49412) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-09-21 |