| NPI | 1457921777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA 3953) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 8952) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |