| NPI | 1760500664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 6031) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 8399) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-03-21 |