| NPI | 1851548226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: TN 3135) | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2020-06-03 |