| NPI | 1154474294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY1104) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22403) |
| 106H00000X Marriage & Family Therapist (Licence: HI MFT-56) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC35927) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2017-02-09 |