| NPI | 1457538589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 11196) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2011-03-15 |