| NPI | 1821476664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY20655) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY20655) |
| 103TC1900X Psychologist Counseling (Licence: CA PSY20655) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-06-26 |