NPI | 1285717041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13983) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC24039) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2010-10-15 |