NPI | 1922179092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 31474) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41005) |
Enumeration Date | 2006-11-12 |
Last Update Date | 2019-12-05 |