NPI | 1538517206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34973) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 92629) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2024-04-03 |