| NPI | 1235368135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80309) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSB 36721) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2023-02-20 |