| NPI | 1831494244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA PSB34475) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB34475) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |