| NPI | 1306063821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 21395) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 35910) |
| 163W00000X Registered Nurse (Licence: CA RN 401587) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |