| NPI | 1396937843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25194) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 1846) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2021-05-17 |