| NPI | 1215191507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 61593) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR 125475) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2014-04-28 |