| NPI | 1780722983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45063) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF44907) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-04-01 |