| NPI | 1023328382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111559) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA RS5986) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2021-11-24 |