| NPI | 1639402043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC8677) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral (Licence: CA APCC8677) | |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT122217) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2023-07-14 |