| NPI | 1447463377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27930) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41727) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-01-05 |