| NPI | 1043403850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27021) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00049710) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2018-10-09 |