| NPI | 1881065993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29324) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82992) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2022-06-22 |