| NPI | 1225677560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138685) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 110386) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2023-03-23 |