| NPI | 1205086824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35021) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 89760) |
| 174400000X Specialist | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2024-04-30 |