| NPI | 1265765895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 64453) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2013-03-13 |