| NPI | 1740415546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA PSY 13908) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 14611) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2012-11-18 |