| NPI | 1336356187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy 23397) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3815) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-10-21 |