| NPI | 1174991772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY31722) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2020-04-08 |