| NPI | 1164557310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23738) |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-12-08 |