| NPI | 1023164381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 30712) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 30712) |
| 103TC0700X Psychologist, Clinical (Licence: NC 2468) | |
| 103TC1900X Psychologist, Counseling (Licence: CA 30712) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-03-08 |