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 |