| NPI | 1184752180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003728) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA RPS2007026) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2019-03-26 |