| NPI | 1578501284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC25197) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 25197) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-03-18 |