NPI | 1558371658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: CA PSY4290) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY4290) |
106H00000X Marriage & Family Therapist (Licence: CA MFC5940) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2010-10-22 |