| NPI | 1801103874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 30805) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2025-08-11 |