| NPI | 1326223587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22470) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA PSB33236) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2018-04-17 |