| NPI | 1093964876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY26045) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2016-12-12 |