| NPI | 1578960811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF81397) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI1424) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |