| NPI | 1841542677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53162) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF63889) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2015-12-07 |