| NPI | 1972673465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50912) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 473) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-08-30 |