| NPI | 1982851523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49615) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IMF58046) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2012-04-03 |