| NPI | 1316348857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY28335) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2019-01-23 |