| NPI | 1972185437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC12690) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: APCC12690) |
| 106H00000X Marriage & Family Therapist (Licence: AMFT136130) | |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT136130) | |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2022-12-05 |