| NPI | 1629109483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28073) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical (Licence: CA PSY28073) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2017-10-17 |