| NPI | 1881380244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 35998) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 13364) |
| 103T00000X Psychologist (Licence: CA 94028489) | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2025-08-27 |