| NPI | 1508087552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26986) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 26986) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 26986) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 1651) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-02-09 |