| NPI | 1043432784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC50734) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF52312) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-09-19 |