| NPI | 1144596586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 341179) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108093) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-07-19 |