| NPI | 1629123617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 22818) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 38430) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-10-29 |