| NPI | 1811020084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29649) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 48418) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-04-02 |