| NPI | 1902053424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25434) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 225C00000X Rehabilitation Counselor (Licence: CA PSYW) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2021-03-04 |