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 |