| NPI | 1326566019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA PSB94025941) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 70738) |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2021-12-01 |