| NPI | 1497051064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY29550) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2022-06-27 |