| NPI | 1407165285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51965) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1339) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2012-08-04 |