| NPI | 1104951821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30039) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA RPS2012210) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-02-03 |