| NPI | 1396009841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31439) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF66320) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-05-17 |