| NPI | 1972702488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016702) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40336) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2011-12-25 |