| NPI | 1265765895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist (Licence: CA 64453) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2024-12-13 |