| NPI | 1083094668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94023590) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94023590) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-10-09 |