| NPI | 1508347097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY33373) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSB94024183) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-02-22 |