| NPI | 1073902235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34098) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98906) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2024-02-24 |