| NPI | 1720330681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY33087) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY33087) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT95947) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2025-07-03 |