| NPI | 1013146646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY27180) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225C00000X Rehabilitation Counselor | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2015-06-26 |