| NPI | 1851604987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY10434) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY10434) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT9624) | |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2010-07-18 |