| NPI | 1578972808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY28203) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PSY28203) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2021-08-17 |