| NPI | 1558378240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C0584) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY7542) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC13561) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |