| NPI | 1164864807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34282) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: CA 99183) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFTI #75982) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2023-09-22 |