| NPI | 1417487125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY34891) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT124879) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-02-19 |