| NPI | 1659374775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY 17897) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 17748) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-11-01 |