| NPI | 1396933503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 22460) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 22460) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2017-10-02 |