| NPI | 1932468592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35195) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96981) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-08-13 |