| NPI | 1922598028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: CA LMFT100613) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA LMFT100613) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA LMFT100613) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA LMFT100613) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |