| NPI | 1760039408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35617) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104638) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2025-01-23 |