| NPI | 1730633264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF87822) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI12163) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |