| NPI | 1386947398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34817) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101MY0800X) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2024-03-18 |