| NPI | 1851325195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24458) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 34400) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-07-02 |