| NPI | 1881726479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY22619) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY22619) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2011-11-26 |