| NPI | 1982717112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 25437) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2091) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-03-30 |