| NPI | 1285813493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mft23954) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA mft23954) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |