| NPI | 1851548366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32729) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 080039091) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT38766) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2022-01-12 |