| NPI | 1871814830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30592) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 63398) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2018-12-26 |