| NPI | 1467686360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32363) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47148) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2024-06-19 |