| NPI | 1346405693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT31894) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy20520) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2023-09-05 |