| NPI | 1508997909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC42603) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 24976) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-10-19 |