| NPI | 1518157072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 3166) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA RPS2012267) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-11-13 |