| NPI | 1114485356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 36065) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110503) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2025-12-01 |