| NPI | 1184158982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34905) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86987) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2024-03-06 |