| NPI | 1649552431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSB94024582) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2021-05-25 |