NPI | 1760862643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34836) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT113415) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2024-01-30 |