NPI | 1720330681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY33087) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY33087) |
106H00000X Marriage & Family Therapist (Licence: CA LMFT95947) | |
Enumeration Date | 2012-10-02 |
Last Update Date | 2025-09-18 |