| NPI | 1699206896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35591) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94027100) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF98519) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-03-29 |