| NPI | 1194819797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY12962) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC5783) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-03-02 |