| NPI | 1659471670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 20625) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA LMFT 000724) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |