| NPI | 1144343054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0132428) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28112) |
| 106H00000X Marriage & Family Therapist (Licence: CA 51200) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-09-28 |