NPI | 1790834745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA MR24608) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MR24608) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |