| NPI | 1184395212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141671) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 114671) |
| 103TC0700X Psychologist Clinical (Licence: CA LMFT141671) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-03-10 |