| NPI | 1205186459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126366) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSB94025278) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-12-30 |