| NPI | 1235387994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24888) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11720) |
| 103TC1900X Psychologist, Counseling (Licence: PR 3838) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY24888) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2023-06-14 |