| NPI | 1366685091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSYD28134) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling (Licence: CA PSYD28134) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2022-12-13 |