| NPI | 1487796074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27160) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 36100) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-09-14 |