| NPI | 1558492538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: CA RI-T0712190948) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF62834) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-08-20 |