NPI | 1225296965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33663) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77139) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2022-10-03 |