| NPI | 1841380250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 29206) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41157) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2018-08-28 |