| NPI | 1881985794 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 48263) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42863) | 
| Enumeration Date | 2011-04-26 | 
| Last Update Date | 2014-01-28 |