| NPI | 1831474345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27172) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 49335) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2015-10-21 |