| NPI | 1548569601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53573) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC214) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2021-01-27 |