| NPI | 1770618639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC45938) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45938) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-09-16 |