| NPI | 1013065630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: CA 22011) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT22011) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-12-09 |