| NPI | 1689791964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18380) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY18380) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT 20078) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-10-21 |