| NPI | 1235269994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY33873) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT50329) | |
| 103T00000X Psychologist (Licence: CA 33873) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-11-08 |