| NPI | 1649305152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 11471316-2501) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48491) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-04-04 |