| NPI | 1457553000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 27770) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 27770) |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2017-02-06 |