| NPI | 1518390780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 29522) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2020-11-11 |