| NPI | 1013020767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR TO211) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC16351) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-11 |