NPI | 1891901914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31257) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 40052) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2022-04-27 |