| NPI | 1871614453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45157) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44752) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC45157) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-10-07 |