| NPI | 1396898953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25649) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA D1000072) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-07-31 |