| NPI | 1215183835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY10549) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT15095) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2009-02-10 |