| NPI | 1205380706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY28146) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28146) |
| 103TC1900X Psychologist, Counseling (Licence: NY 013940) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2017-01-20 |