| NPI | 1336265172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 44987) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 44354) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-01-25 |