| NPI | 1083265821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152475) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 94028368) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-01-24 |