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 |