| NPI | 1033127972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY16196) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT19314) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |