| NPI | 1093767204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 33325) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS23286) |
| 225400000X Rehabilitation Practitioner | |
| 225C00000X Rehabilitation Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-13 |