| NPI | 1477755122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49101) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF53481) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-01-25 |