| NPI | 1548531346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28958) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 2018) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2026-06-15 |