| NPI | 1487102745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 82913) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 82913) |
| 103TC0700X Psychologist, Clinical (Licence: CA 82913) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 82913) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2019-09-17 |