| NPI | 1639687890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY34152) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY34152) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2024-04-08 |