| NPI | 1649264821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY12158) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ME PS891) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC14285) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2008-09-30 |