| NPI | 1922126119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT49039) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF48921) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-05-26 |