| NPI | 1992171318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PSB94025530) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY34537) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY34537) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY34537) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2026-07-28 |