| NPI | 1114038635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY 20420) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 20420) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-03-04 |