| NPI | 1720139256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC47216) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA IMF 47679) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2021-12-13 |