| NPI | 1952743304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32287) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical (Licence: ID PSY203419) | |
| 103TC0700X Psychologist, Clinical (Licence: HI PSY1964) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2023-02-01 |