| NPI | 1558772772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9853) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC20253) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |