| NPI | 1205117082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31062) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY31062) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2022-04-20 |