| NPI | 1326233420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 43982) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9) |
| 106H00000X Marriage & Family Therapist (Licence: ME MF3924) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-10-24 |