| NPI | 1134246036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY32501) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225C00000X Rehabilitation Counselor (Licence: CA RPS2012152) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2021-05-07 |