| NPI | 1639400310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY12098) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT25684) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |