| NPI | 1265158067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 149843) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 149843) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-11-28 |