NPI | 1841405586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 23375) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 34839) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2014-07-16 |