| NPI | 1891030391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY27282) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PSY27282) |
| 101YM0800X Counselor, Mental Health (Licence: CA PSY27282) | |
| 101YP2500X Counselor, Professional (Licence: CA PSY27282) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2015-06-05 |