| NPI | 1871046722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10859) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-01-03 |