| NPI | 1437514163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA IMF89001) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89001) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2016-11-15 |