| NPI | 1437608544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 0005630) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: CA 33039) | |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2025-05-08 |