| NPI | 1790815371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 2012939) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB 34946) |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-02-17 |