| NPI | 1841587946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27573) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2017-01-11 |