| NPI | 1346891066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33910) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 3445) |
| 106H00000X Marriage & Family Therapist (Licence: CA 134292) | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-02-23 |