| NPI | 1104959543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 24823) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 060193975) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-02-23 |