| NPI | 1033328935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 23829) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 23829 MFT) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-08-08 |