| NPI | 1013133099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 17985) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY 17985) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT 15706) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |