| NPI | 1649514910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28530) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1630) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2021-04-16 |