| NPI | 1063524312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY11992) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY0299) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC18217) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-09-18 |