| 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 |