| NPI | 1033324561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42708) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 4005) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-10-21 |