| NPI | 1720118557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF67650) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-04-19 |