| NPI | 1578647459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS18366) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-04-13 |