| NPI | 1265513535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY20816) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC23708) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-12-16 |