| NPI | 1235335803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 12546) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 17121) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-12-02 |