| NPI | 1427424464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30954) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA 2012775) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2025-02-10 |