NPI | 1760500664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 6031) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 8399) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2024-11-17 |