| NPI | 1295291193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110565) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2021-06-03 |