| NPI | 1730335787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49103) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF57182) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2012-03-01 |