| NPI | 1578594461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA MFC18550) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA MFC18550) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA MFC18550) | |
| 103TC1900X Psychologist, Counseling (Licence: CA MFC18550) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA MFC18550) | |
| 103TF0000X Psychologist, Family (Licence: CA MFC18550) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC18550) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |