| NPI | 1700309473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147339) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 4267) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2025-03-07 |