| NPI | 1215246723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28480) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA pending) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2017-03-29 |