| NPI | 1760515332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46479) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45392) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-11-13 |