| NPI | 1124726898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 126419) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126419) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |