| NPI | 1720078868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: CA PSY20432) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA psy20432) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |