| NPI | 1952560245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30822) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT41326) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2019-05-29 |