| NPI | 1366573982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 28997) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 6470716-3902) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |