| NPI | 1306443155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120236) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2025-07-18 |