| NPI | 1457487571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA MFC25575) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC25575) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2007-10-22 |