| NPI | 1902987662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA ML17116) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |