| NPI | 1073869632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27313) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 18039) |
| 103K00000X Behavior Analyst (Licence: 1-13-13509) | |
| 103TS0200X Psychologist, School (Licence: CA LEP 2834) | |
| 103TS0200X Psychologist, School (Licence: TX 32196) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 47132) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2019-06-21 |