| NPI | 1649401043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52056) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 60394) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2012-09-13 |