| NPI | 1699817551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23964) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA PSY2005256) |
| 103T00000X Psychologist (Licence: CA PSY23964) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-08-29 |