| NPI | 1770724288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT15020) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA LEP2016) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |