| NPI | 1134403793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27268) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2021-04-20 |