NPI | 1760516496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26763) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF45566) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-11-25 |