| NPI | 1780729905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC47622) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47542) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-02-03 |