| NPI | 1609380864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36326) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103T00000X Psychologist | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2026-01-30 |