| NPI | 1497988067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC45131) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT192) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2010-08-23 |