| NPI | 1720388374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30519) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 206548) |
| 106H00000X Marriage & Family Therapist (Licence: CA 79616) | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2026-07-13 |