| NPI | 1841289246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA CAPSY6075) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA CAMIZ990) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-07-08 |