| NPI | 1215194014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30020) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2020-10-21 |