| NPI | 1578619136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA MFT 1412) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 46832) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-02-04 |