| NPI | 1023130820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 22116) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCS22848) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-02-01 |