NPI | 1831307131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy14064) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc24723) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2007-08-18 |