| NPI | 1114125929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSY24719) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-10-26 |