| NPI | 1740445428 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY26995)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 20242)  | 
| Enumeration Date | 2008-07-22 | 
| Last Update Date | 2015-02-20 |