| NPI | 1891949780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist Family (Licence: CA MFT40324) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA MFT40324) |
| 106H00000X Marriage & Family Therapist (Licence: CA 40324) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT40324) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2022-07-21 |