| NPI | 1023241957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28154) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2021-04-08 |