| NPI | 1205845773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26636) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 43139) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-06-25 |