| NPI | 1003225707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY30852) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA PSB94022530) |
| 103T00000X Psychologist | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-04-29 |