| NPI | 1154753655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28431) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2017-01-20 |