| NPI | 1467674176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA 21413) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 21413) |
| 103TS0200X Psychologist School (Licence: CA 21413) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-05-16 |