| NPI | 1538326020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108752) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-08-09 |