| NPI | 1891702502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY10398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT20345) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |