| 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 |