| NPI | 1740304369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC51590) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF#50999) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-07-30 |