| NPI | 1346625035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA LMFT91196) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA IMF87702) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2016-11-17 |