| NPI | 1700242070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA PSY17334) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT89425) |
| Enumeration Date | 2016-01-02 |
| Last Update Date | 2022-07-21 |