| NPI | 1942787502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31678) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: CA PSY31678) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2022-01-11 |