NPI | 1952316648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22278) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC37949) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2024-04-15 |