| NPI | 1720471766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94025332) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006665) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY32036) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2020-09-09 |