| NPI | 1578742045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53437) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55002) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2013-06-03 |