| NPI | 1801824818 |
|---|---|
| Professional Name | MARLOU RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY12147) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT19599) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |