| NPI | 1770806408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52711) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 61940) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2013-01-17 |