| NPI | 1558589655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28500) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44951) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2025-04-07 |