| NPI | 1891919528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC48072) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 50903) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-02-09 |