| NPI | 1861705188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26755) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 64885) |
| 103TC1900X Psychologist Counseling (Licence: CA 26755) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-01-03 |