| NPI | 1790049443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005662) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF81266) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-04-15 |