| NPI | 1710436001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32500) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2024-12-06 |