| NPI | 1477755742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC43987) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC43983) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-08-29 |