| NPI | 1609909241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT47846) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF40808) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-05-13 |