| NPI | 1720250285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48140) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 51194) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2012-08-13 |