| NPI | 1871605345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC-12228) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 36246) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-11-13 |