| NPI | 1184971913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32019) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT108836) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2023-06-23 |