NPI | 1679610588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9454) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT15141) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |