| NPI | 1033447339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30454) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53060) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2024-06-03 |