| NPI | 1861586570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF42463) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA MFC45414) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC45414) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-01-29 |