| NPI | 1558493437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47241) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 248) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2014-04-02 |