| NPI | 1700293313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1835) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF88323) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2025-12-22 |