| NPI | 1659982429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119696) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2023-08-01 |