| NPI | 1720338221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6571) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94028908) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2025-08-15 |