| NPI | 1982756003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 24800) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 632) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |