| NPI | 1669628103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51804) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55421) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2015-06-30 |