| NPI | 1427590074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90140) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 90140) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2023-10-11 |