| NPI | 1134646912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY34284) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 171M00000X Case Manager/Care Coordinator | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-07-25 |