| NPI | 1598807612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 37260) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201480) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-04-26 |