| NPI | 1023287281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PSY22474) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22474) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2021-11-29 |