| NPI | 1164904298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32790) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2025-09-19 |