| NPI | 1801146196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF76375) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2013-09-10 |