| NPI | 1972826790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 26567) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48217) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2014-08-11 |