| NPI | 1407135197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: CA MFC24547) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC24547) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2012-10-09 |