| NPI | 1760707400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32353) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT90922) |
| 103TC0700X Psychologist, Clinical (Licence: CA Waivered-Intern) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2021-02-01 |