| NPI | 1457424939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA LEP 2784) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 15522) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-08-16 |