| NPI | 1255594677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23114) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2017-01-30 |