| NPI | 1255462040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33217) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98751) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-03-18 |