NPI | 1689705907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23707) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC43819) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2010-08-16 |