| NPI | 1316968894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23650) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC38238) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-05-23 |