| NPI | 1912036070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32720) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 32720) |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist (Licence: 57852) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-04-21 |