| NPI | 1053779868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF88123) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB94024300) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2019-12-13 |