| NPI | 1447328794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45352) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G87281) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2013-03-14 |