| NPI | 1093910184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 23573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 23573) |
| 102L00000X Psychoanalyst | |
| 103T00000X Psychologist (Licence: CA 23573) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-10-26 |