| NPI | 1962555268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24060) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA L.M.F.T. 28778) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-10-24 |