| NPI | 1487636809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94021376) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94021376) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSB94021376) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 73333) | |
| Enumeration Date | 2005-11-20 |
| Last Update Date | 2015-05-04 |