| NPI | 1356485635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45218) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180004877) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-05-12 |