| NPI | 1508060757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY14575) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC29266) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |