| NPI | 1962911610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111548) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 111548) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-03-14 |