| NPI | 1386766640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 060237136) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41534) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-08 |