| NPI | 1063857738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34940) |
| Additional Taxonomies | 101Y00000X Counselor |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2025-11-17 |