| NPI | 1134445547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33751) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2023-06-02 |