| NPI | 1548343023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA MFC28806 & LPC78) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA MFT28806) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-08-15 |