| NPI | 1730240474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 6176) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 14659) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP191) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |