| NPI | 1154577963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy28262) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA psy28262) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC40405) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2021-02-18 |