| 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 |