| NPI | 1053480400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24007) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC34515) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2021-07-01 |