| NPI | 1407026768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31443) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling (Licence: CA 31443) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2024-08-08 |