| NPI | 1497884498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID 7671932) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: CA PSY26010) | |
| 103T00000X Psychologist (Licence: CA 26010) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-12-02 |