| NPI | 1366774853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA Psy32740) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100292) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2023-08-11 |