| 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 |