| NPI | 1689740706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 30297) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43824) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-12-18 |