| NPI | 1689868754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: CA PSY26714) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY26714) | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2024-01-24 |