| NPI | 1184095366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 14158) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 14029) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-02-18 |