| NPI | 1912015124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY143250) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT7388) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-08-01 |