| NPI | 1659573079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23830) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH7638) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-12-17 |