| NPI | 1861683773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 12125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 2418) |
| 106H00000X Marriage & Family Therapist (Licence: CA 13850) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2011-10-13 |