| NPI | 1023748860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35346) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 35346) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2024-10-23 |