NPI | 1407983919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 12881) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 18234) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2017-02-24 |