| NPI | 1609922905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy25398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC24260) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2015-04-08 |