| NPI | 1841054681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: CA 1234) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 5894) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |