| NPI | 1104373448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSB94027054) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 138151) |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2023-04-24 |