| NPI | 1669675971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23527) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA RPS2006041) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-04-20 |