| NPI | 1598997447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy 11799) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psy11799) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS 10822) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT9398) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |