NPI | 1679095582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 94027461) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
106H00000X Marriage & Family Therapist (Licence: CA 126395) | |
Enumeration Date | 2017-07-12 |
Last Update Date | 2025-07-25 |