| NPI | 1235349895 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY6961)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC6591)  | 
| Enumeration Date | 2007-05-23 | 
| Last Update Date | 2025-09-11 |