| NPI | 1265756803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA CAPSY#22622) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA CAPSY#22622) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA CAPSY#22622) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |