| NPI | 1831419704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY26831) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-06-12 |