| NPI | 1750419776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1391) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC39525) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-03-07 |