| NPI | 1275664500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY26893) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF52865) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-05-20 |