| NPI | 1528356227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY33131) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA psb94024136) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-06-13 |