| NPI | 1558565895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13813) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC21899) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |