| NPI | 1427313204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 29403) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 103TF0200X Psychologist Forensic | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2023-07-07 |