| NPI | 1669535621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33367) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53666) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-06-18 |