| NPI | 1700083540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31947) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53683) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-10 |