| NPI | 1386778504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 24756) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC41694) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-02-26 |