| NPI | 1063649325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25061) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 46102) |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2012-11-25 |