| NPI | 1811022536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC51653) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF59140) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-06-05 |