| NPI | 1720090640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA PSY19582) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY19582) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2022-06-24 |