| NPI | 1558828376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94027442) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114903) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2024-01-31 |