| NPI | 1639463797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35956) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5349-57) |
| 103T00000X Psychologist (Licence: CA 35956) | |
| 103TC0700X Psychologist, Clinical (Licence: MN LP7149) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 100651) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2025-08-15 |