NPI | 1881818185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY21382) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY21382) |
106H00000X Marriage & Family Therapist (Licence: CA MFT33954) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2012-02-16 |