| NPI | 1134556160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115373) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2024-01-04 |