| NPI | 1609997709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25144) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 25144) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT43836) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-09-16 |