| NPI | 1164578670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFCC 48694) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA WaiveredPsychologist) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-01-13 |