| NPI | 1326179946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY15249) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY15249) |
| 106H00000X Marriage & Family Therapist (Licence: CA PSY 15249 MFT 6916) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |