NPI | 1275651143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32219) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC38913) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2024-07-05 |