| NPI | 1184628422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY14815) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC19668) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-12-09 |