| NPI | 1265978175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY10920) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT22256) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |