| NPI | 1790954600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 56437) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 23023) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2009-09-10 |