| NPI | 1063542314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34770) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 34770) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |