| NPI | 1386985661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPC897) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF65551) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2018-06-08 |