| NPI | 1740481761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22481) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 40516) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2011-02-17 |