| NPI | 1265550362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 30882) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 42894) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-10-04 |