| NPI | 1518195130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA MFC 37420) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2010-02-24 |