| 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 |