| NPI | 1255708558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33914) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104528) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2025-06-03 |