| NPI | 1275685125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: CA LCSW4178) |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 1041C0700X Social Worker Clinical (Licence: CA LCSW4178) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |