| NPI | 1710052360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45572) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 46926) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-08-24 |