| NPI | 1780882696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 57332) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41382) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-08-30 |