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 |