| NPI | 1811296221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF86755) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF60075) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2015-07-08 |