| NPI | 1144587825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 30088) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 30088) |
| 103TC1900X Psychologist, Counseling | |
| 103TF0200X Psychologist, Forensic | |
| 104100000X Social Worker | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2022-06-16 |