| NPI | 1902936693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA MFC40424) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC40424) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2017-11-28 |