| NPI | 1295215549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 94026461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94026461) |
| 106H00000X Marriage & Family Therapist (Licence: CA 116807) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-10-30 |