| NPI | 1811041536 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46349)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 49558)  | 
| Enumeration Date | 2007-01-22 | 
| Last Update Date | 2010-01-22 |