| NPI | 1962791640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 24138) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA PSY24138) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2024-12-06 |