| NPI | 1568799849 |
|---|---|
| Former Name | WILLOW PEARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 29436) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50993) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2024-08-27 |