| NPI | 1093882698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY24966) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist (Licence: CA 24966) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-09-12 |