| NPI | 1639476807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53235) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMFT 66151) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2016-10-05 |