| NPI | 1780967497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA 67848) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 84388) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2016-06-08 |