| NPI | 1790857977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47414) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-12-16 |