| NPI | 1073885976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34475) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT52904) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2023-08-23 |