NPI | 1831344720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32393) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52810) |
Enumeration Date | 2008-11-19 |
Last Update Date | 2023-08-09 |