| NPI | 1487193637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY34382) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97344) |
| 103TC0700X Psychologist Clinical (Licence: CA PSB94024192) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2024-08-07 |