| NPI | 1114190428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 13232) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 686) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |