| NPI | 1205504792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 35898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 97919) |
| 1041C0700X Social Worker, Clinical (Licence: NY 91797) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-05-15 |