| NPI | 1760648604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7073) |
| 103T00000X Psychologist (Licence: HI 1984) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2023-02-09 |