| NPI | 1982714762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy 13405) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA LEP 1550) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT 13109) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-08-17 |