NPI | 1134346968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17736) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC28685) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2019-08-12 |