| NPI | 1578717054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50523) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55327) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2012-10-22 |