| NPI | 1619715695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144107) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA 144107) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |