| NPI | 1720330681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY33087) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95947) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2023-06-14 |